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Washington rates for HCPCS 73202

Ct Upper Extremity W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.06 / $128.13 / $210.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.65 / $349.00 / $588.22
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.46 / $65.06 / $150.88
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$537.20 / $537.20 / $537.20
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.33 / $641.67 / $2,077.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.45 / $140.10 / $471.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.82 / $520.23 / $893.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.28 / $105.02 / $180.66
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.06 / $130.37 / $539.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.91 / $606.11 / $978.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.73 / $122.53 / $157.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.01 / $251.57 / $541.02
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.44 / $112.30 / $116.58
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.77 / $178.77 / $178.77
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.55 / $113.10 / $121.53
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.69 / $77.69 / $77.92
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.57 / $602.38 / $729.23
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.36 / $133.69 / $160.06
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$346.39 / $346.39 / $851.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.52 / $530.07 / $727.04
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.45 / $117.64 / $160.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.89 / $352.25 / $761.73
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.08 / $66.45 / $170.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.58 / $276.58 / $276.58
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.51 / $59.51 / $59.51